DPR Award Acceptance Form
We have a number of awards that were not claimed after the race on October 17, 2021. If you would like to receive your award, please submit the information below along with a $5 PayPal payment sent to info@runners4wellness.com.

DEADLINE TO CLAIM AWARD: November 3, 2021

We will mail the awards shortly after this date.

****PLEASE REVIEW BEFORE SUBMITTING FORM****:
We will only send awards to those who are Top 3 Overall (M/F) and 1st PLACE WINNERS of each of the following age groups for both M/F (Under 20, 20-29, 30-39, 40-49, 50-59, 60-69, 70-79, 80 and Over)

**PLEASE MAKE SURE YOU QUALIFY FOR AN AWARD BEFORE SENDING PAYMENT

2021 Results Link:
https://dprtrailraces.itsyourrace.com/Results.aspx?id=10045&y=2021

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Name *
Gender *
Email *
If we have questions we will need a valid email to contact you.
Mailing Address 1 *
We will need the mailing address to ship the award to, so please provide this.
Mailing Address 2
We will need the mailing address to ship the award to, so please provide this.
City *
We will need the mailing address to ship the award to, so please provide this.
State *
We will need the mailing address to ship the award to, so please provide this.
Zip *
We will need the mailing address to ship the award to, so please provide this.
Event *
What did you win? *
NOTE: We will only send awards to those who are Top 3 Overall (M/F) and 1st PLACE WINNERS of each of the following age groups for both M/F (Under 20, 20-29, 30-39, 40-49, 50-59, 60-69, 70-79, 80 and Over)
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